Video Intervention for Smoking Cessation

Overseen By Kinsey Pebley, PhD, MPH

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Medical University of South Carolina

Disqualifiers: Dementia, Active psychosis, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Approved in 1 Jurisdiction This treatment is already approved in other countries

Compensation: Varies

Number of Visits: 5

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to evaluate the effectiveness of a video program in helping cancer patients quit smoking. Researchers seek to determine whether watching these videos is an effective method for learning about smoking cessation and if participants find them helpful and easy to use. Cancer patients who continue to smoke might find this study suitable, particularly if they are receiving treatment at the Medical University of South Carolina. Participants will either watch smoking cessation videos (VIDeOS Smoking Cessation Program) or read a pamphlet from the National Cancer Institute about quitting smoking. The trial will assess whether the video method merits further testing on a larger scale. As an unphased trial, this study provides a unique opportunity to contribute to innovative research that could benefit future cancer patients aiming to quit smoking.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It focuses on smoking cessation for cancer patients.

What prior data suggests that this video intervention is safe for smoking cessation?

Research has shown that the VIDeOS smoking cessation program is generally safe for participants. The program involves watching videos designed to help people quit smoking. Being video-based, it poses little risk of physical harm. No reports of negative effects have emerged from watching these educational videos. This method resembles other programs that use information to aid smoking cessation, which users usually receive well.

The main goal is to provide helpful information to support quitting, rather than introducing new medications or treatments that might carry risks. This makes the program a low-risk choice for those who want to quit smoking. ^{1 2}

Why are researchers excited about this trial?

Researchers are excited about the "Video Intervention for Smoking Cessation" trial because it explores using engaging video content as a new way to help people quit smoking. Unlike traditional methods like nicotine replacement therapies or counseling, this approach provides accessible, easy-to-consume video materials directly to participants. The use of videos aims to create more engaging and relatable content, potentially increasing motivation and adherence to smoking cessation efforts. By comparing this with the established NCI pamphlet "Clearing the Air," researchers hope to find out if video interventions can lead to higher success rates in quitting smoking.

What evidence suggests that the VIDeOS program is effective for smoking cessation in cancer patients?

Research has shown that video-based programs can effectively help people quit smoking. One study found that watching videos enabled people to stop smoking for longer periods compared to just reading about it. Specifically, those who watched videos were more likely to maintain their non-smoking status. Another study found that video training increased people's knowledge and confidence in giving advice about quitting smoking. In this trial, participants in the "Videos" arm will receive links to smoking cessation videos as part of the VIDeOS program. These findings suggest that a video program like VIDeOS could enhance cancer patients' understanding and commitment to quitting smoking. ^{3 4 5 6}

Are You a Good Fit for This Trial?

This trial is for adults over 18 who have any type of cancer, are currently smoking cigarettes, and receiving care at the Medical University of South Carolina. Participants must be able to read and understand English.

Inclusion Criteria

Currently smoking cigarettes (any amount)

Receiving care at Medical University of South Carolina

Reads and understands English language

Exclusion Criteria

Unstable or poorly managed medical or psychiatric conditions that impair cognition and ability to provide informed consent (e.g., dementia, active psychosis)

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants complete surveys prior to randomization to assess baseline knowledge and smoking behaviors

1 week

1 visit (virtual)

Intervention

Participants receive either video interventions or NCI pamphlets for smoking cessation

1 week

1 visit (virtual)

Follow-up

Participants complete surveys to assess acceptability, feasibility, and changes in smoking behaviors and knowledge

3 months

3 visits (virtual) at 1 week, 1 month, and 3 months post-randomization

What Are the Treatments Tested in This Trial?

Interventions

• VIDeOS

Trial Overview The study tests a video-based smoking cessation program tailored for cancer patients. It aims to see if this approach is workable, well-received by participants, and effective in increasing knowledge about quitting smoking before a larger trial.

How Is the Trial Designed?

Group I: Videos Experimental Treatment 1 Intervention

Participants will be sent links to smoking cessation videos to watch.

Group II: NCI Pamphlet Active Control 1 Intervention

Participants will be sent links to NCI's "Clearing the Air" to read.

Who Is Running the Clinical Trial?

Medical University of South Carolina

Lead Sponsor

Trials

994

Recruited

7,408,000+

Alliance NCORP Research Base Cancer Control Program

Collaborator

Trials

1

Recruited

40+

National Cancer Institute (NCI)

Collaborator

Trials

14,080

Recruited

41,180,000+

Published Research Related to This Trial

Smokers who participated in a televised cessation program and received social support had the highest abstinence rates compared to those in discussion groups, no-shows, and no-contact controls, indicating that social support is crucial for successful quitting.

The social support group not only had better outcomes but also increased engagement with program materials, suggesting that both support and active participation are key factors in smoking cessation success.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effects of social support and relapse prevention training as adjuncts to a televised smoking-cessation intervention. Gruder, CL., Mermelstein, RJ., Kirkendol, S., et al.[2019]

A study involving 126 nurses in Thailand demonstrated that online video training significantly improved their knowledge of smoking cessation counseling, with scores increasing from an average of 10.75 to 13.01 after training (p<0.001).

The training also boosted nurses' self-efficacy in providing smoking cessation counseling, with scores rising from 3.70 to 4.36, indicating that video training can effectively enhance both knowledge and confidence in this area.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Outcomes of video training on smoking cessation counseling for nurses. Kalampakorn, S., Panpakdee, O., Pungbangkadee, R., et al.[2023]

In a randomized controlled trial involving 2,099 smokers, video computer tailoring significantly increased 7-day point prevalence abstinence compared to a control group, with an odds ratio of 1.45, indicating its effectiveness in promoting smoking cessation.

Video computer tailoring was particularly beneficial for smokers with a low readiness to quit, achieving a remarkable odds ratio of 5.13 for prolonged abstinence, suggesting that personalized video messages can effectively motivate smokers who are less prepared to quit.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparison of text and video computer-tailored interventions for smoking cessation: randomized controlled trial. Stanczyk, N., Bolman, C., van Adrichem, M., et al.[2022]

A randomized clinical trial involving 1409 hospitalized smokers found that a health system-based tobacco cessation program (Transitional Tobacco Care Management) led to higher usage of cessation counseling and nicotine replacement therapy in the first three months after discharge compared to referral to a community quitline.

Although the health system-based model showed better short-term outcomes, the long-term biochemically verified tobacco abstinence rates at six months were not significantly different between the two groups, suggesting that longer treatment duration may be needed to maintain the benefits of the health system approach.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparative Effectiveness of Postdischarge Smoking Cessation Interventions for Hospital Patients: The Helping HAND 4 Randomized Clinical Trial. Rigotti, NA., Chang, Y., Davis, EM., et al.[2023]

In a study of 1,131 smokers, nonparticipants in a smoking cessation program were found to have lower motivation and confidence to quit compared to participants, indicating psychological factors play a significant role in engagement with cessation programs.

Despite not participating, 93% of nonparticipants expressed a desire to quit smoking eventually, suggesting that with the right support and motivation, they could be encouraged to engage in future cessation efforts.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Factors associated with nonparticipation among registrants for a self-help, community-based smoking cessation intervention. Kviz, FJ., Crittenden, KS., Warnecke, RB.[2019]

The study tested a culturally specific smoking cessation intervention, the Pathways to Freedom (PTF) DVD, with 140 African American smokers, showing positive effects on participants' evaluations of the content, risk perceptions, and readiness to quit smoking after viewing the DVD.

Initial results suggest that the PTF DVD is an effective stand-alone intervention for promoting smoking cessation, indicating its potential for broader application in community health settings for underserved populations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of a DVD-based smoking cessation intervention for African Americans. Webb Hooper, M., Baker, EA., Robinson, RG.[2022]

Implementing a tobacco order set in a computerized order-entry system significantly improved the identification of smoking status and increased referrals for smoking counseling and nicotine replacement therapy (NRT) among admitted patients, with usage rates of 76% and 81% respectively.

The intervention led to a notable increase in the percentage of patients receiving counseling (from 0.8% to 2.1%) and NRT orders (from 1.6% to 2.5%), which also enhanced the hospital's performance on smoking cessation quality measures, demonstrating its efficacy in promoting smoking cessation in a hospital setting.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A computerized aid to support smoking cessation treatment for hospital patients. Koplan, KE., Regan, S., Goldszer, RC., et al.[2021]

Intensive multicomponent behavioral interventions can lead to long-term smoking cessation rates of nearly 50%, highlighting their effectiveness compared to other methods.

Nicotine replacement therapies, such as gum and patches, significantly enhance smoking cessation outcomes, with patches being easier for patients to use correctly.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Smoking cessation products and programs. Lando, HA.[2007]

Television quit smoking programs are increasingly being used as a medium to promote smoking cessation, with various features like timing, content, and cost-effectiveness being explored.

Despite the innovative approaches to using TV for smoking cessation, there has been limited thorough assessment of the actual impact these programs have on viewers' smoking behaviors.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Smoking and television: review of extant literature. Danaher, BG., Berkanovic, E., Gerber, B.[2019]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10158814/

Outcomes of video training on smoking cessation ... This study shows that video training can improve nurses' knowledge and confidence in smoking cessation counseling.

2. sciencedirect.com sciencedirect.com/science/article/pii/S0091743515003291

Effectiveness of video- versus text-based computer-tailored ... The video-based CT smoking cessation intervention was more effective for prolonged abstinence than the text-based intervention and the CC. No interaction was ...

3. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9732762/

Outcomes of a Comprehensive Mobile Smoking Cessation ... This study aimed to compare engagement, retention, attitudes toward quitting smoking, smoking behavior, and participant feedback between Pivot and QuitGuide.

4. clinicaltrials.gov clinicaltrials.gov/study/NCT06443294?term=AREA%5BInterventionSearch%5D(series)%20AND%20AREA%5BStudyType%5D(INTERVENTIONAL)&rank=6

Development of a Smoking Cessation Video Series The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure.

5. smokingcessationleadership.ucsf.edu smokingcessationleadership.ucsf.edu/videos

Videos | Smoking Cessation Leadership Center View introductory video of the US Surgeon General, Dr. Vivek Murthy, highlighting the need for health-care providers to address tobacco use.

6. va.gov va.gov/WHOLEHEALTH/podcast/tobaccocessation/index.asp

Whole Health for Tobacco Cessation This program discusses the benefits of quitting tobacco and describes Whole Health concepts that can be used by employees who are ready to quit.